# SHAKER EMERGENCY SPECIALISTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285492108
- **Authorized official:** KIRSTEN A SORENSEN (ADMINISTRATOR)
- **Authorized official phone:** (602) 431-1152

## Contact information

- **Practice address:** 17201 INTERSTATE 45 S, THE WOODLANDS, TX 77385-3311
- **Practice address phone:** (936) 270-2000
- **Practice address fax:** (602) 431-2149
- **Mailing address:** 4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044-7776
- **Mailing address phone:** (602) 431-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | NULL | Yes |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 12/03/2024